Kim L Grata, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Twin Falls, ID
NPI 1336738574 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1336738574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 630 Addison Ave W Ste 1000
Twin Falls, ID 83301-5853 - Phone
- (208) 736-5048
- Fax
- (208) 735-2126
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Falls County | Current |
Accepting new patients | |
| Mountain West Behavioral Health | Past | Accepting new patients |
Locations
630 Addison Ave W
Ste 1000
Twin Falls, ID 83301
Phone (208) 736-5048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
630 Addison Ave W Ste 1000
Twin Falls, ID 83301-5853
Mailing address
630 Addison Ave W Ste 1000
Twin Falls, ID 83301-5853
Phone (208) 736-5048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I1709684 | Medicaid | ID |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kim.grata@twin-falls.id.us |
Other providers in Twin Falls, ID
- Lesley D. Goulding
- Ismael Grachico II
- Amber Patreese Graham
- Kaylee Grahnert
- Sonamarivell Granados
- Jessica Inez Gratzer
- Amanda Breaux Gray
- John B Gray
- Michael E Gray
- Donna Laura Graybill
All providers in Twin Falls, ID · Addiction (Substance Use Disorder) Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.